If Medicare pays for my treatment will it affect my workers compensation claim?
A Medicare beneficiary with a pending workers compensation claim may be required to reimburse Medicare some or all of their workers compensation benefits. The Centers for Medicare and Medicaid services “CMS” administers all Medicare payments to medical providers. Payments for medical conditions, which are the result of work related injuries or exposures, are considered “conditional payments”. These payments by Medicare are made on the condition that if an injured worker receives workers compensation benefits Medicare is entitled to make a claim for reimbursement. Therefore, it is very important to consider your legal rights and obligations when seeking medical treatment through Medicare while you have a pending workers compensation claim. Your employer or their insurance company must be put on proper notice before seeking treatment through Medicare. This is so even if your workers compensation claim is denied or any further treatment has been denied.